K B Home Health Care IHS LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

K B HOME HEALTH CARE IHS LLC

Practice address

4411 Woodson Rd Ste 108
Saint Louis, MO 63134-3701

Phone

(314) 473-1036

Fax

(314) 473-1045

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dewayne Marbley

Title

Owner

Phone

(314) 473-1036

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1538072137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WOODSON RD STE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343701",
            "telephone_number": "314-473-1036",
            "fax_number": "314-473-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WOODSON RD STE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343701",
            "telephone_number": "314-473-1036",
            "fax_number": "314-473-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K B HOME HEALTH CARE IHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "MARBLEY",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-473-1036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.